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Individual

MRS. JOHANE M FILEMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD, CLT

Contact information

Practice address
35 PATTERSON RD # 465942, LAWRENCEVILLE, GA 30044-4717
(770) 904-9154
Mailing address
35 PATTERSON RD # 465942, LAWRENCEVILLE, GA 30044-4717
(407) 616-1947

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
12887.
FL
133V00000X
Registered Dietitian
164.010261
IL
133V00000X
Registered Dietitian
562429
WI
133V00000X
Registered Dietitian
Primary
LD003944
GA

Other

Enumeration date
09/06/2016
Last updated
12/22/2025
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